IPACHTE# IQ Harnett County Department of Public Health 25921
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Ho c~a,~r.
ISSUED T0: Na2r~t'~ ~~6~L.tc C.p,~scK ~pP, SUBDIVISION L SS LOT #
NEW>< REPAIR ❑ EXPANSION Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: fn Pr-4 , 1A or+6 LA-09
Proposed Wastewater System Type: ENV C- ~o tv t
Projected Daily Flow: 3Com GPD
Number of bedrooms: 3 Number of Occupants: 4, max
Basement ❑Yes No
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well 1 od feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent.:
The issuance of this permit by the Health Department in no way guarantees the issuanc
site is subject to revocation if the site plan, plat, or the intended use changes. The Impr
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Date: 1Lt t0 SEE ATTACHED SITE SKETCH
permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
crmit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1951, .1954, .1955, .1956, .19ST .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout.
ISSUED T0: N d a.rnc~. Q1r~~Lk,(~ ~,g~c~+~s F_pR PROPERTY LOCATION: }+o cnPSs ~t~c
SUBDIVISION L 11@'s LOT #
Facility Type: M P, , V-b t Q* y New ❑ Expansion ❑ Repair
Basement? ❑ Yes '5~ No Basement Fixtures? ❑ Yes X No
Type of Wastewater System** C.y+vvEt.rr o r-c >xt^ (Initial) Wastewater Flow: 3~O GPD
(See note below, if applicable
Installation Requirements/Conditions
Septic Tank Size t 00 0 gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
pair)
Number of trenches 3
Exact length of each trench °10 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. ),'i -2 -1 inches
(Tren(h bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
Conditions: ~ P v&2- I---,- L- f-i m QG lOr 7aOr, SCPSsc. S ys ~ Gr,. ~ o s L)-~s ES
1•,.-s>>aL- Q.FoaNQ
inches below pipe
inches above pipe
S inches total
**If applicable: /under tand the system type speciled /s different from the type speciled on the app/ication. / accept the specilcations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to r on if the s n, plat or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is sec complian th t'on a laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:
(LDA5 Date: I I NA N0
Authorization Expiration Date:
HTE# 1C7 `S ---X38-8'~ Permit #
Harnett County Department of 11~iblic Health
Site Sketcb
PROPERTY LOCATON: 1 oOMP6 VPac . RZ
ISSUED T0: Nom H~EL~c t~Crrsr{~,~EO~ SUBDIVISION t-~ LOT #
Authorized State Agent: qf~~'b C LlI EX 100*C'0Q Date:
as7
X53
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIUSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot
File
Code:
Owner. Applicant:
Address: Date Evaluated: 515.E +
Proposed Facility: ~ c,C Design Flow (.1949):.y <-,._f-'1, Property Size:
Location of Site: Property Recorded:
Water Supply. Public ❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process ❑ Mixed
P
R
O
F
SOIL MORPHOLOOY
OTHER
F
I
L
.1940
.1941
PROFILE FACTORS
E
#
LmxImcape
Position/
Slope %
i-lC`la
Horizon
Depth
(la)
U 1
.1941
sb whuw
Tenure
G S
.1941
Consistence
mineralogy
VKn ~~>~Att
.1941
Soil
Wetnew
Color
.1943
soil
Depth IN.
.1936
Sspro
Clay
.1944
Restr
Horiz
Pmft
Close
LTAR
3 ~ ~ ~ 5 vc.4~ :J;~ ~ r
Wit Repair Sydem Other Factors (.1946r
Site Classification (.1948r r'
~J Others By: r
e _ J L..,. J Others Pmmm.
r5